1.Easy
What is a delusion?
- AA sudden, short loss of consciousness and memory
- BA strong, lasting fear of a particular object, animal or place
- CSeeing or hearing things that are not really there
- DA false belief that stays even when it is shown to be untrue
2.Easy
Unless the care plan says otherwise, how often should a resident who cannot move in bed be repositioned?
- AOnly when the resident asks
- BAt least every 2 hours
- COnce per shift
- DOnce a day, after the bath
3.Easy
Which is a common sign that death is near?
- AA sudden large increase in appetite
- BWarm, pink skin on the hands and feet
- CA rising amount of urine output
- DCool, mottled skin on the hands and feet
4.Medium
A resident has right-sided weakness after a stroke. Why must the right side be positioned carefully and checked often?
- AThe right side always heals faster than the left
- BShe may not feel pressure or pain on that side
- CShe will feel more pain on that side than normal
- DThe right side is stronger and needs less support
5.Medium
For how long is an apical pulse counted?
- A15 seconds, multiplied by 4
- BOne full minute
- C10 seconds, multiplied by 6
- D30 seconds, multiplied by 2
6.Medium
With aging, which kind of sounds are often the first to become hard to hear?
- AHigh-pitched sounds
- BLoud sounds
- CLow-pitched sounds
- DThe person's own voice
7.Hard
A resident on droplet precautions for influenza wants to go to the bingo game. What should the nursing assistant do?
- AExplain she must stay in her room for now, offer an activity there and tell the nurse
- BTake her to bingo and seat her in the middle of the group so she feels included
- CTake her to bingo without a mask, since she has had the flu shot
- DTell her she is being selfish and that the other residents do not want her at the bingo game
8.Hard
A resident with an ileostomy has red, sore skin around the stoma. Why is the skin around an ileostomy at special risk?
- AIts liquid output contains enzymes that irritate the skin
- BThe resident's skin is allergic to the stoma itself
- CThe output is hard and dry and scrapes the skin as it passes
- DThe pouch is changed too often and pulls off the skin
Answer key
- 1. D · A false belief that stays even when it is shown to be untrue
- 2. B · At least every 2 hours
- 3. D · Cool, mottled skin on the hands and feet
- 4. B · She may not feel pressure or pain on that side
- 5. B · One full minute
- 6. A · High-pitched sounds
- 7. A · Explain she must stay in her room for now, offer an activity there and tell the nurse
- 8. A · Its liquid output contains enzymes that irritate the skin
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